title: Bilateral reexpansion pulmonary edema associated with pleural empyema: a case report.
abstract: Reexpansion pulmonary edema is an uncommon complication following rapid reexpansion of the lungs. The risk increases with a prolonged duration of pulmonary collapse, the amount of drained liquid or air, and with decreased time of draining. Treatment is supportive. In general, the prognosis is favorable. A nine-year-old boy was presented with fever, cough, and respiratory distress. Pneumonia and left-sided pleural empyema were determined and a chest tube was emplaced. Clinical deterioration occurred in just a few minutes following chest tube insertion. His chest radiography revealed a pulmonary edema in the left lung. Despite mechanical ventilation, antibiotics, and diuretic treatment, no significant improvement occurred. Acute respiratory distress syndrome and multiple organ dysfunctions developed in the follow-up. The patient died on day 5 of hospitalization. In this report, a complicated reexpansion pulmonary edema with a lathal outcome in a 9-year-old child is presented.
authors.affiliation: Department of Pediatrics, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey. sukrupaksu@yahoo.com
authors.forename: Muhammet Sukru
authors.initials: MS
authors.lastname: Paksu
authors.forename: Sule
authors.initials: S
authors.lastname: Paksu
authors.forename: Muhammet
authors.initials: M
authors.lastname: Akgün
authors.forename: Ayhan Gazi
authors.initials: AG
authors.lastname: Kalaycı
authors.forename: Kemal
authors.initials: K
authors.lastname: Baysal
mesh_terms: D015505:Chest Tubes; D002648:Child; D004322:Drainage / Q000009:adverse effects*; D016724:Empyema, Pleural / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D001261:Pulmonary Atelectasis / Q000601:surgery*; D011654:Pulmonary Edema / Q000209:etiology*; D013907:Thoracostomy